首页|经皮椎间孔镜手术治疗腰椎间盘突出症对腰椎功能、疼痛程度及并发症的影响

经皮椎间孔镜手术治疗腰椎间盘突出症对腰椎功能、疼痛程度及并发症的影响

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目的 探讨腰椎间盘突出症(LDH)患者采取经皮椎间孔镜手术治疗对腰椎功能、疼痛程度及并发症的影响.方法:选取2018年1月至2024年2月期间皖南医学院第二附属医院收治的60例LDH患者,采用随机数字表法分为观察组和对照组,每组30例.对照组采用常规椎板开窗髓核摘除术治疗,观察组采用经皮椎间孔镜手术治疗.术后随访3个月,对比两组腰椎功能[Oswetry功能障碍指数(ODI)]、疼痛程度[视觉模拟评分法(VAS)],统计术后并发症发生率及复发率.结果 观察组术后随访1个月、3个月的ODI、VAS评分均低于对照组,P<0.05.观察组术后并发症发生率6.67%、随访3个月复发率3.33%均低于对照组,P<0.05.结论 针对LDH患者采取经皮椎间孔镜治疗的效果满意,可明显改善患者腰椎功能,减轻术后疼痛程度,降低并发症发生率及复发率.
Effect of Percutaneous Transforaminal Endoscopic Surgery for Lumbar Disc Herniation on Lumbar Function、Pain Degree And Complications
Objective:To investigate the effect of percutaneous transforaminal endoscopic treatment on lumbar func-tion,pain degree and complications in patients with lumbar disc herniation(LDH).Methods:60 patients with LDH admitted to the Second Affiliated Hospital of Southern Anhui Medical College from January 2018 to February 2024 were randomly divided into observation group and control group,with 30 patients in each group.The control group was treated with conventional laminectomy and nucleus pulposus removal,while the observation group was treated with percutaneous transforaminal endoscopic surgery.Follow-up for 3 months after operation,the lumbar function[Oswetry Dysfunction Index(ODI)]and pain degree[visual analogue scale(VAS))of the two groups were com-pared,and the incidence and recurrence rate of postoperative complications were counted.Results:The scores of ODI and VAS in the observation group were lower than those in the control group,P<0.05.The incidence of postoperative complications in the observation group was 6.67%,and the recurrence rate after 3 months of follow-up was 3.33%,which was lower than that in the control group,P<0.05.Conclusion:Percutaneous transforaminal endoscopic treatment for LDH patients has a satisfactory effect,which can obviously improve the lumbar function,reduce the de-gree of postoperative pain and reduce the incidence of complications and recurrence.

Lumbar disc herniationPercutaneous foraminal lensLumbar functionPain

徐永明、裴付来、黄昌佳

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皖南医学院第二附属医院脊柱创伤骨科,安徽 芜湖 241100

腰椎间盘突出症 经皮椎间孔镜 腰椎功能 疼痛

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(6)